DR. MARIANN LOUISE TUCKER (O.D.) – Optometrist, NPI 1679576128

DR. MARIANN LOUISE TUCKER (O.D.) is a healthcare provider. based in Titusville, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC 1977 (FL). The NPI Number for DR. MARIANN LOUISE TUCKER (O.D.) is 1679576128

Main info

Female
Sole Proprietor
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARIANN LOUISE TUCKER (O.D.)
NPI
1679576128
Phone
(407) 658-9020
Address
3955 HUNTERS RIDGE WAY
Enumeration Date
28 May 2005
Last Update Date
19 April 2010

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
4076589020
Graduation Year
1978 (48 years ago)
PAC ID
2163614173
Group Practice PAC ID
0042123846
Professional Enrollment ID
I20101011000265
Address ID
FL328264609OR12950DRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:21State licenses:3Digital endpointsOther names

2,055 OPTOMETRY in FL

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Provider Addresses for DR. MARIANN LOUISE TUCKER (O.D.)

  • Hunters Ridge Way, Titusville, Brevard County, Florida, 32796, United States

    TITUSVILLE, FL 327961855

    Phone: (407) 658-9020

    Fax: (800) 878-9609

    Type: Mailing

  • East Colonial Drive, Orlando, Orange County, Florida, 32814, United States

    SUITE #100

    ORLANDO, FL 328264609

    Phone: (407) 658-9020

    Fax: (800) 878-9609

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $213.

Total Amount is formed as General ($213) + Research ($0) + Ownership ($0) = $213.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($110).

Total Amount

$213

General + Research + Ownership

Payments

3

Total payment records

General Amount

$213

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101011000265IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system1111$0
View full utilization report →

Insurance plans in this area (ZIP 32796)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042123846View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

What number should I use to identify DR. MARIANN LOUISE TUCKER (O.D.) for billing?
Administrative and clinical systems typically use NPI 1679576128 for DR. MARIANN LOUISE TUCKER (O.D.).
Is DR. MARIANN LOUISE TUCKER (O.D.)'s NPI status active today?
Active status means DR. MARIANN LOUISE TUCKER (O.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. MARIANN LOUISE TUCKER (O.D.)?
NPPES ties DR. MARIANN LOUISE TUCKER (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MARIANN LOUISE TUCKER (O.D.)?
DR. MARIANN LOUISE TUCKER (O.D.) is associated with Titusville, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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